Many politicians, celebrities, businessmen and women, and community leaders now are open about their struggles with mental illnesses, something almost unheard of when I began. Together, we are spreading the word that mental health affects all of us and deserves our support and attention.

Because sanitation has so many effects across all aspects of development - it affects education, it affects health, it affects maternal mortality and infant mortality, it affects labor - it's all these things, so it becomes a political football. Nobody has full responsibility.

When I announced my focus on mental health as first lady of Georgia in 1971, none but five mental health advocates in the state wanted to be involved with the issue.

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